[Simultaneous supraventricular tachycardia in twin premature newborns of a monochorionic pregnancy].
Identifieur interne : 000772 ( PubMed/Corpus ); précédent : 000771; suivant : 000773[Simultaneous supraventricular tachycardia in twin premature newborns of a monochorionic pregnancy].
Auteurs : M-A Chêne ; G. Parlier ; J. Denis ; D. SiretSource :
- Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [ 1769-664X ] ; 2013.
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Abstract
Supraventricular tachycardia (SVT) is the most common pediatric arrhythmia. SVT occurs more frequently in infants under 1 year of age, most of whom have structurally normal hearts. Pejorative predisposing factors such as congenital heart disease exist in only a few patients. In patients with a healthy heart, SVT is due to re-entry via an accessory pathway. Some articles describe occurrence of SVT in 1 of the fetuses or newborns from multiple gestation pregnancies, but few cases report simultaneous start of SVT in twins. This observation describes simultaneous occurrence of SVT in both premature infants from a monochorionic twin gestation. Successful emergency treatment consisted in physical maneuvers increasing vagal activity. The twin neonates then received a prolonged anti-arrhythmic amiodarone treatment. Both of their electrocardiograms were normal, without Wolf-Parkinson-White syndrome. Both of their echocardiography results showed aneurysms of the atrial septum. At 6 months of age, SVT had not recurred. This case describes an original presentation of simultaneous SVT in twins and highlights the efficacy of vagal maneuvers to manage stable patients. We discuss the existence of benign predisposing heart structural abnormalities.
DOI: 10.1016/j.arcped.2012.11.003
PubMed: 23245861
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pubmed:23245861Le document en format XML
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Siret</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23245861</idno><idno type="pmid">23245861</idno><idno type="doi">10.1016/j.arcped.2012.11.003</idno><idno type="wicri:Area/PubMed/Corpus">000772</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000772</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Simultaneous supraventricular tachycardia in twin premature newborns of a monochorionic pregnancy].</title><author><name sortKey="Chene, M A" sort="Chene, M A" uniqKey="Chene M" first="M-A" last="Chêne">M-A Chêne</name><affiliation><nlm:affiliation>Service de pédiatrie et néonatalogie, centre hospitalier de Saint-Nazaire, 11, boulevard Georges-Charpak, BP 414, 44606 Saint-Nazaire cedex, France.</nlm:affiliation></affiliation></author><author><name sortKey="Parlier, G" sort="Parlier, G" uniqKey="Parlier G" first="G" last="Parlier">G. Parlier</name></author><author><name sortKey="Denis, J" sort="Denis, J" uniqKey="Denis J" first="J" last="Denis">J. Denis</name></author><author><name sortKey="Siret, D" sort="Siret, D" uniqKey="Siret D" first="D" last="Siret">D. Siret</name></author></analytic><series><title level="j">Archives de pediatrie : organe officiel de la Societe francaise de pediatrie</title><idno type="eISSN">1769-664X</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chorion</term><term>Diseases in Twins (diagnosis)</term><term>Diseases in Twins (therapy)</term><term>Humans</term><term>Infant, Newborn</term><term>Infant, Premature, Diseases (diagnosis)</term><term>Infant, Premature, Diseases (therapy)</term><term>Male</term><term>Tachycardia, Supraventricular (diagnosis)</term><term>Tachycardia, Supraventricular (therapy)</term><term>Time Factors</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Diseases in Twins</term><term>Infant, Premature, Diseases</term><term>Tachycardia, Supraventricular</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Diseases in Twins</term><term>Infant, Premature, Diseases</term><term>Tachycardia, Supraventricular</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Chorion</term><term>Humans</term><term>Infant, Newborn</term><term>Male</term><term>Time Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Supraventricular tachycardia (SVT) is the most common pediatric arrhythmia. SVT occurs more frequently in infants under 1 year of age, most of whom have structurally normal hearts. Pejorative predisposing factors such as congenital heart disease exist in only a few patients. In patients with a healthy heart, SVT is due to re-entry via an accessory pathway. Some articles describe occurrence of SVT in 1 of the fetuses or newborns from multiple gestation pregnancies, but few cases report simultaneous start of SVT in twins. This observation describes simultaneous occurrence of SVT in both premature infants from a monochorionic twin gestation. Successful emergency treatment consisted in physical maneuvers increasing vagal activity. The twin neonates then received a prolonged anti-arrhythmic amiodarone treatment. Both of their electrocardiograms were normal, without Wolf-Parkinson-White syndrome. Both of their echocardiography results showed aneurysms of the atrial septum. At 6 months of age, SVT had not recurred. This case describes an original presentation of simultaneous SVT in twins and highlights the efficacy of vagal maneuvers to manage stable patients. We discuss the existence of benign predisposing heart structural abnormalities.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23245861</PMID><DateCreated><Year>2013</Year><Month>02</Month><Day>04</Day></DateCreated><DateCompleted><Year>2013</Year><Month>08</Month><Day>05</Day></DateCompleted><DateRevised><Year>2013</Year><Month>02</Month><Day>04</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1769-664X</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>2</Issue><PubDate><Year>2013</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Archives de pediatrie : organe officiel de la Societe francaise de pediatrie</Title><ISOAbbreviation>Arch Pediatr</ISOAbbreviation></Journal><ArticleTitle>[Simultaneous supraventricular tachycardia in twin premature newborns of a monochorionic pregnancy].</ArticleTitle><Pagination><MedlinePgn>192-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.arcped.2012.11.003</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0929-693X(12)00494-0</ELocationID><Abstract><AbstractText>Supraventricular tachycardia (SVT) is the most common pediatric arrhythmia. SVT occurs more frequently in infants under 1 year of age, most of whom have structurally normal hearts. Pejorative predisposing factors such as congenital heart disease exist in only a few patients. In patients with a healthy heart, SVT is due to re-entry via an accessory pathway. Some articles describe occurrence of SVT in 1 of the fetuses or newborns from multiple gestation pregnancies, but few cases report simultaneous start of SVT in twins. This observation describes simultaneous occurrence of SVT in both premature infants from a monochorionic twin gestation. Successful emergency treatment consisted in physical maneuvers increasing vagal activity. The twin neonates then received a prolonged anti-arrhythmic amiodarone treatment. Both of their electrocardiograms were normal, without Wolf-Parkinson-White syndrome. Both of their echocardiography results showed aneurysms of the atrial septum. At 6 months of age, SVT had not recurred. This case describes an original presentation of simultaneous SVT in twins and highlights the efficacy of vagal maneuvers to manage stable patients. We discuss the existence of benign predisposing heart structural abnormalities.</AbstractText><CopyrightInformation>Copyright © 2012. Published by Elsevier SAS.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chêne</LastName><ForeName>M-A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Service de pédiatrie et néonatalogie, centre hospitalier de Saint-Nazaire, 11, boulevard Georges-Charpak, BP 414, 44606 Saint-Nazaire cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Parlier</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Denis</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Siret</LastName><ForeName>D</ForeName><Initials>D</Initials></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Tachycardie supraventriculaire simultanée chez des jumeaux monozygotes prématurés.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2012</Year><Month>12</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Arch Pediatr</MedlineTA><NlmUniqueID>9421356</NlmUniqueID><ISSNLinking>0929-693X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002823" MajorTopicYN="N">Chorion</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004200" MajorTopicYN="Y">Diseases in Twins</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007235" MajorTopicYN="Y">Infant, Premature, Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013617" MajorTopicYN="Y">Tachycardia, Supraventricular</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>04</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2012</Year><Month>07</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>11</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>12</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>12</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>8</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23245861</ArticleId><ArticleId IdType="pii">S0929-693X(12)00494-0</ArticleId><ArticleId IdType="doi">10.1016/j.arcped.2012.11.003</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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